温针灸对糖尿病周围神经病变患者神经传导及血糖代谢的影响

Effects of Warm Acupuncture on Nerve Conduction and Blood Glucose Metabolism in Patients with Diabetic Peripheral Neuropathy

目的:探究温针灸对糖尿病周围神经病变(DPN)患者神经传导及血糖代谢的影响。方法:选取2016年1月至2018年1月内蒙古医科大学第三附属医院收治的DPN患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组给予患者降糖药物阿卡波糖片和甲钴胺片。观察组在对照组的基础上进行温针灸治疗,记录并比较2组患者治疗前后的血糖变化、神经传导功能以及Toronto积分。结果:观察组患者的治疗有效率为85.00%,对照组患者的治疗有效率为70.00%,观察组治疗有效率显著高于对照组,差异有统计学意义(P<0.05)。与治疗前比较,2组患者的空腹血糖值、餐后2 h血糖值、Toronto积分在治疗后下降,差异有统计学意义(P<0.05),且观察组患者的空腹血糖、餐后2 h血糖、Toronto积分显著低于对照组,差异有统计学意义(P<0.05)。2组患者的正中神经、腓总神经感觉传导速度增加,且观察组患者的正中神经、腓总神经感觉传导速度显著高于对照组,差异有统计学意义(P<0.05)。结论:温针灸可以通过降低DPN患者的空腹血糖值、餐后2 h血糖值、Toronto积分,增强正中神经、腓总神经感觉传导速度而发挥治疗作用,且比口服甲钴胺片的疗效较好。

Objective:To explore the effects of warm acupuncture on nerve conduction and blood glucose metabolism in patients with diabetic peripheral neuropathy(DPN).Methods:A total of 80 patients with DPN in The Third Affiliated Hospital of Inner Mongolia Medical University from January 2016 to January 2018 were selected and randomly divided into an observation group(40 cases)and a control group(40 cases).The control group was given the hypoglycemic drugs acarbose tablets and methylcobalamin tablets.The observation group was given warm acupuncture on basis of the control group.The level of glucose,never conduction and score of toronto were compared between 2 groups.Results:The total effective rate was 85.00%in the observation group and 70.00%in the control group,with significant difference(P<0.01).Compared with before treatment,the levels of fasting blood glucose,2 h postprandial blood glucose and scores of toronto in the 2 groups decreased after treatment(P<0.05),and those levels and toronto scores in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the sensory conduction velocity of median nerve and common peroneal nerve in the 2 groups increased,with significant difference compared with before treatment(P<0.05),and those indicators in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Warm acupuncture can improve the sensory conduction velocity of median nerve and common peroneal nerve by lowering the levels of fasting blood glucose,2 h blood glucose and toront score in patients with DPN.It has better curative effect than mecobalamin tablets and has clinical application value.